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Michigan rates for HCPCS G0404

Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $7.66 / $10.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.93 / $11.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $8.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $10.26 / $12.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $10.77 / $18.14